| NPI | 1447452016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN PATRICK BOCKO President 919-960-8858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: NC 410) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2008-12-03 |